| NPI | 1043959919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2411371) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162696) |
| 104100000X Social Worker (Licence: KY 259591) | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-09-17 |